Paramedic Drug Cards

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1

Atropine

Bradydysrhythmias

Adult-0.5mg IV every 3-5 min not to exceed total dose of 0.04 mg/kg (3mg)

Pediatric-0.02 mg/kg IV Single dose min; 0.1mg; Single dose max: 0.5mg child, 1mg adolescent; May repeat to max total dose 1mg child or 2mg adolescent

Anticholinsterase poisoning (organophosphate or Nerve Agent)

Adult-2-4mg IV/IM every 5-15 min until effects are seen

Pediatric-(<12) 0.02-0.05 mg/kg/dose IV every 10-20 min until effects are seen

2

Diltiazem

Adult-0.25 mg/kg slow IV max 20 mg; may repeat in 15 min 0.35 mg/kg slow IV max 25mg

Pediatric- Not Indicated

3

Hydroxocobalamin

Adult-5g administered by IV infustion over a total of 15 min, may repeat once as needed

Pediatric-Not for ped use

4

Lidocaine

Adult & Pediatric

V-fib, V-tach-1-1.5mg/kg IV; repeat q 3-5 min (max 3mg/kg)

Adult infusion-1-4mg/min

Pediatric infusion-20-50mcg/kg/min

Wide-Complex Tachycardia- 1-1.5mg/kg IV, follow with infusion

IO Anesthetic-10-20 mg pushed in IO initially before infusion started

5

Metoprolol

Adult-5mg slow IV every 5 min to total 15mg

Pediatric-Not indicated

6

Procainamide

Adult-20mg/min(max 17mg/kg

*Urgent:50mg/min

(Infusion); 1-4 mg/min; mix 1g in 250 mL NS or D5W

Pediatric-15mg/kg IV; infuse over 30-60 min

7

Oxytocin

Postpartum hemorrhage

Adult-3-10 U IM

Hemorrhage after abortion

Adult- 10-40 mU/min infusion Mix 10-40 units in 1 L NS or LR

8

Tranexamic Acid (TXA)

Adult-1g in 100 mL over 10 min IV/IO

Pediatric-Not recommended prehospital

9

Activated Charcoal

Adult-1g/kg PO or NG/OG tube

Pediatric-1-2g/kg PO or NG/OG tube

10

Acetaminophen

Adult-15mg/kg PO mox 1000 mg

Pediatric-15mg/kg PO max of 1000 mg

11

Albuterol

Adult-2.5-5mg in 3mL of NS via Nebulizer every 20 min for a max of 3 doses; May administer a continuous nebulizer at 10-15mg/hr

Hyperkalemia-10-20mg Nebulized

Pediatric (<12)-0.15mg/kg every 20 min for a max of 3 doses; May administer continuous nebulizers at 0.5mg/kg/hr

12

Aspirin

Adult MI: 162-324mg PO

Adult Pain Management: 325-650mg PO

13

Calcium Chloride

Adult-500-1000mg IV; may repeat after 10 min as needed

Pediatric-20mg/kg IV; may repeat after 10 min as needed

14

Clopidogrel

Adult: 300mg PO loading dose

Pediatric-Not indicated

15

Dexamethasone

Adult-1-6mg/kg IV (max 40mg)

Pediatric-0.03-0.3 mg/kg/day IV, divide into equal doses every 6 hrs